Utility Easement - The Town Of Davie Page 2

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Utility Easement Agreement (Sample)
IN WITNESS WHEREOF, the Grantors have hereunto set their hands and seals to this Utility
Easement this _____ day of _________________, 20___.
WITNESSES:
GRANTORS:
_________________________________
_______________________________
________________________
Grantor:
Print Name:
_________________________________
_______________________________
________________________
Grantor:
Print Name:
STATE OF FLORIDA
:
SS:
COUNTY OF BROWARD
:
The foregoing instrument was acknowledged before me this _____ day of _____________, 20___,
by _______________and
_______________ who are personally known to me or have produced
_________________ as identification and who did/did not take an oath.
__________________________________
Notary Public
__________________________________
Printed Name of Notary
My Commission Expires:
WITNESSES:
GRANTEE:
_________________________________
_______________________________
________________________
______________________
Print Name:
Print Name:
_________________________________
________________________
Print Name:
Eng/Admin/Inservice/Utility Easement
2 of 4
Revised 5/05

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